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Questions and Answers
Which of the following is NOT a cause of an enlarged abdomen?
Which of the following is NOT a cause of an enlarged abdomen?
Which step is NOT part of the midwifery care process?
Which step is NOT part of the midwifery care process?
What is one of the objectives of focused antenatal care?
What is one of the objectives of focused antenatal care?
Which of the following is a minor disorder of pregnancy?
Which of the following is a minor disorder of pregnancy?
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Which group is considered a special patient category in prenatal care?
Which group is considered a special patient category in prenatal care?
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What is the typical increase in heart rate during pregnancy?
What is the typical increase in heart rate during pregnancy?
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What percentage does blood volume typically increase during pregnancy?
What percentage does blood volume typically increase during pregnancy?
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What physiological change occurs to red blood cells during pregnancy?
What physiological change occurs to red blood cells during pregnancy?
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What hormonal influence is primarily responsible for the reduction in systemic blood pressure during pregnancy?
What hormonal influence is primarily responsible for the reduction in systemic blood pressure during pregnancy?
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At what week of gestation does physiological hemodilution become most clearly observed?
At what week of gestation does physiological hemodilution become most clearly observed?
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Why does blood pressure slightly fall during mid-pregnancy?
Why does blood pressure slightly fall during mid-pregnancy?
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What is the typical amount of blood the heart pumps per minute during pregnancy?
What is the typical amount of blood the heart pumps per minute during pregnancy?
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What change is observed in systemic vascular resistance during pregnancy?
What change is observed in systemic vascular resistance during pregnancy?
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What is a common food aversion experienced during pregnancy?
What is a common food aversion experienced during pregnancy?
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What physiological change may cause constipation during pregnancy?
What physiological change may cause constipation during pregnancy?
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What happens to gall bladder function during the second and third trimester of pregnancy?
What happens to gall bladder function during the second and third trimester of pregnancy?
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Which hormone is primarily responsible for stimulating appetite during pregnancy?
Which hormone is primarily responsible for stimulating appetite during pregnancy?
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What is Pica in the context of pregnancy?
What is Pica in the context of pregnancy?
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How much extra water does the average woman retain during pregnancy?
How much extra water does the average woman retain during pregnancy?
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What is the effect of pregnancy on the hepatic blood flow?
What is the effect of pregnancy on the hepatic blood flow?
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What metabolic change occurs in the latter half of pregnancy?
What metabolic change occurs in the latter half of pregnancy?
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What are common symptoms of uterine fibroids?
What are common symptoms of uterine fibroids?
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How can a distended bladder be misinterpreted in women?
How can a distended bladder be misinterpreted in women?
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Which condition is characterized by a woman showing signs of pregnancy without being pregnant?
Which condition is characterized by a woman showing signs of pregnancy without being pregnant?
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What is the first step of the midwifery care process?
What is the first step of the midwifery care process?
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In the midwifery care process, what does the 'D' in ADPIE stand for?
In the midwifery care process, what does the 'D' in ADPIE stand for?
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What role does critical thinking play in the midwifery care process?
What role does critical thinking play in the midwifery care process?
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What is a key outcome expected from the 'E' phase of the midwifery process?
What is a key outcome expected from the 'E' phase of the midwifery process?
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What approach does the midwifery care process follow?
What approach does the midwifery care process follow?
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What is a primary reason for the limited implementation of FANC in Ghana?
What is a primary reason for the limited implementation of FANC in Ghana?
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Which of the following components is essential for the sustainability of FANC services?
Which of the following components is essential for the sustainability of FANC services?
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What does the antenatal schedule recommend regarding the number of visits?
What does the antenatal schedule recommend regarding the number of visits?
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Which of the following is NOT part of the laboratory investigations for FANC?
Which of the following is NOT part of the laboratory investigations for FANC?
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Which service is aimed at preventing mother-to-child transmission of HIV?
Which service is aimed at preventing mother-to-child transmission of HIV?
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What is a key component of the birth preparedness plan?
What is a key component of the birth preparedness plan?
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Which aspect is crucial for providers to offer integrated and comprehensive care?
Which aspect is crucial for providers to offer integrated and comprehensive care?
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Which of the following services is included in the package of services provided under FANC?
Which of the following services is included in the package of services provided under FANC?
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Study Notes
Enlarged Abdomen
- Pseudocyesis (false pregnancy) can cause an enlarged abdomen.
- Abdominal and ovarian tumors can contribute to abdominal enlargement.
- Uterine fibroids can cause an enlarged abdomen, often irregularly shaped.
- Cirrhosis of the liver can lead to abdominal swelling (ascites).
Midwifery Care Process
- Midwifery care involves several phases/steps: assessment, diagnosis, planning, implementation, and evaluation (ADPIE).
- The care process is dynamic and circular, requiring critical thinking.
- The midwifery process parallels the nursing process, utilizing a goal-oriented approach and critical judgment.
Focused Antenatal Care (FANC)
- FANC aims to improve maternal and newborn health outcomes, focusing on risk identification and timely interventions.
- FANC provides a package of services during pregnancy, including health history taking, clinical observations, laboratory investigations, malaria prevention, nutrition education, iron-folate supplementation, tetanus immunization, birth preparedness plans, and family planning advice.
- FANC aims for a minimum of 4 comprehensive antenatal visits, ideally spaced as follows:
- First visit: Before 14 weeks
- Second visit: 14-28 weeks
- Third visit: 28-36 weeks
- Fourth visit: After 36 weeks.
Antenatal Clinic Assessment
- Clinical observations: include temperature, pulse, blood pressure, weight, gait, and general physical examination (head to toe).
- Physical examination: focuses on the abdomen, particularly for fetal growth and position.
- Abdominal examination: checks for fetal presentation and signs of complications.
Laboratory Investigations
- Common laboratory tests during prenatal visits include a blood test for hemoglobin level, full blood count, sickle cell trait, syphilis screening (VDRL), HIV testing for PMTCT (prevention of mother-to-child transmission), blood typing and cross-matching, stool examination for parasites, and urine analysis for sugar and protein.
Birth Preparedness and Complication Readiness Plan
- Encourages women to prepare for childbirth, including finances, transportation, and identifying potential complications.
Special Patients in Pregnancy
- Teenage pregnancy: special considerations are required due to the physical and psychosocial implications of pregnancy in adolescence.
- Elderly primigravida: a woman having her first pregnancy at an older age, requiring closer monitoring due to increased risks.
- Grande multipara: a woman who has had several pregnancies, potentially requiring additional care due to previous birth experiences.
- HIV positive pregnant women: requires specific management, including antiretroviral therapy (ART) to reduce the risk of mother-to-child transmission (PMTCT).
- Sickle cell pregnant woman: requires close monitoring due to increased risks of complications like anemia, premature birth, and low birth weight.
- Diabetic pregnant woman: requires careful management of blood sugar to prevent complications for both mother and fetus.
- Hypertensive pregnant woman: needs close monitoring for preeclampsia and other complications.
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Description
This quiz explores topics related to midwifery care processes, including assessment and diagnosis, as well as conditions that can cause an enlarged abdomen such as pseudocyesis and cirrhosis of the liver. It also covers focused antenatal care aimed at improving maternal and newborn health outcomes. Test your knowledge of these important concepts in midwifery.
